Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Ronan

Individual provider Physical Therapist · NPI 1982398442

Jack Ronan is a Physical Therapist in Private Practice in Overland Park, Kansas. Qualified in 2023, 3 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Kansas and Missouri.

Years since qualifying
3
Licensed in
IL, KS, MO
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

9544 Antioch Rd
Overland Park, KS 66212-4058
Phone: (913) 396-6756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 423 E Ohio St Ste 100, Chicago, IL 60611-3050 — (312) 668-0336

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1108015 (KS)
Physical Therapist Taxonomy 225100000X · Licence 070027520 (IL)
Physical Therapist Taxonomy 225100000X · Licence 2025044630 (MO)

Record details

NPI number1982398442
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 7, 2023
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Overland Park